Individual
ANGELA MARIE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CARLISLE AVE, DAYTON, OH 45410-2734
(937) 654-7109
Mailing address
515 CARLISLE AVE, DAYTON, OH 45410-2734
(937) 654-7109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5719005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499748
—
OH
Enumeration date
11/08/2022
Last updated
11/08/2022
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